APPLICATION FOR COMPENSATION FOR PERMANENT TOTAL DISABILITY *Please type or print clearly and answer ALL questions to the best of your ability. *To ensure prompt processing, this application should be filed directly with

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Date: 2011-10-24 11:51:10		APPLICATION FOR COMPENSATION FOR PERMANENT TOTAL DISABILITY Please type or print clearly and answer ALL questions to the best of your ability. To ensure prompt processing, this application should be filed directly with Add to Reading List Source URL: www.ic.ohio.gov Download Document from Source Website File Size: 65,31 KB Share Document on Facebook